<html>
<body>

<form id="addUserForm" action="input"  method="get" name="addUserForm" enctype="application/x-www-form-urlencoded">
<table border="0" cellspacing="2" cellpadding="0" align="left">
<tr>
  <td align="right" valign="middle">User Name:</td>
  <td align="left" valign="middle"><input type="text" name="user" size="24"/></td>
</tr>
<tr>
  <td align="right" valign="middle" >Domain:</td>
  <td align="left" valign="middle">
    <select name="domain">
      <option selected="true">default: localhost</option>
      <option>example.com</option>
      <option>example.org</option>
    </select>
  </td>
</tr>
<tr>

  <td align="right" valign="middle" >Password:</td>
  <td align="left" valign="middle"><input type="password" name="password" size="24"/></td>
</tr>
<tr>
  <td align="right" valign="middle" >Full Name:</td>
  <td align="left" valign="middle"><input type="text" name="name" size="24"/></td>
</tr>
<tr>
  <td align="right" valign="middle" >Email:</td>

  <td align="left" valign="middle"><input type="text" name="email" size="24"/></td>
</tr>
<tr>
  <td colspan="2" align="right" valign="middle">
    <input type="reset" value="Cancel"/>
    <input type="submit" name="submit" value="Add"/>
  </td>
</tr>
</table>
</form>

</body>
</html>
